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Canyon College

COURSE SYLLABUS: CASE MANAGEMENT CERTIFICATE PROGRAM
Instructor:

Dominick L. Flarey, Ph.D., MBA, RN,CS, CNAA, FACHE, CCH - Vita | E-mail

Certified Adult Nurse Practitioner Dean, Nursing and Alternative Health Care Programs Certified Psychiatric-Mental Health Nurse Professor, Nursing Case Management

Certification and Continuing Education Credits - Tuition

INTRODUCTION: Welcome to the Professional Case Management Certificate Program offered by Canyon College. You have made a wise decision to pursue study and acquire the knowledge and skills needed to practice in this growing health care delivery specialty. This area of specialty practice is growing all the time and many health care professionals are using their skills to practice full or part time in this area. The move to high and full risk reimbursement contracts is prompting health care organizations across the country to develop models, systems, roles and positions for educated, qualified Case Managers. This practice specialty grows more important each day and many health care professionals will have opportunities to practice in Case Management roles. Obtaining the credential from a quality program is essential to capitalize on these career opportunities. You have made an excellent choice for your continuing education and skill attainment. I am sure you will be pleased with our certificate program's course of study. This course will surely prepare you to begin your career as a professional Case Manager. This certificate course is formatted for 150 contact hours of self-paced study with group discussion and faculty mentoring. Upon completion of the course, participants will be awarded the Certificate in Case Management, as well as 10 semester hours of credit from the College.

This comprehensive college-based course is developed to include Introduction, Basic, and Intermediate Case Management, as well as Advanced Case Management and a comprehensive study of Managed Care. The design of the program is such that any licensed health care professional, whether or not they have case management practice experience, can enroll in this course of study. Those who currently practice case management will find the course comprehensive, complimentary to their practices, and highly valuable for study of Advanced Case Management.

This course is designed to be self-paced. Three, current, authoritative texts are used and communication with the course instructor is by email, telephone, fax, and/or US postal mail. Participants can utilize all of any one of these vehicles to communicate with the instructor, although email and phone are preferred.

The course is presented in five (5) modules. Each module is outlined below. Following the completion of each module, the participant will take an examination. The examinations are objective type. Following completion of Module 5, students will receive the College Certificate in Case Management.

The certificate program is a self-paced, guided study course. Participants are given twelve (12) months to complete the program. You may study at your own pace, and can progress through the course as quickly as you like, or as paced as you like. Instructions for moving through the course, including all assignments are provided upon registration.

REQUIREMENTS FOR ADMISSION: candidates for admission to the Case Management Certificate program must be currently licensed in one of the following health care professional roles: Registered Nurse, Licensed Vocational (Practical) Nurse, Licensed Social Worker, Physician, Respiratory Therapist, or Physical Therapist. Other licensed health care professionals may be admitted to the program with permission from the College. Contact the administrative office of the College regarding requirements and consideration for admission.

INSTRUCTOR CONTACT: there have many avenues of access to the course instructor. You may contact the instructor anytime you have questions, would like clarification, etc. Your interaction with the instructor is one-on-one and this is highly beneficial as you proceed through the course. You may contact your instructor anytime.

Instructor contact:

Name:	Dominick L. Flarey
Email:	dominick@canyoncollege.edu
Fax:	330-652-7575
Phone:	330-544-9208

TEXTBOOKS:    Online Bookstore
This course requires the use of three (3) text books. The text for Modules I and II is: Case Management: A Practical Guide to Success in Managed Care, 2nd edition, by Suzanne K. Powell. Lippincott, Williams & Wilkins, 1999/2000. ISBN: 078171883X You are required to purchase this text on your own. It can easily be purchased directly from Lippincott, Williams and Wilkins. You can phone in your order, or visit their website and order directly on line with a credit card.

To Order
Lippincott, Williams & Wilkins
Or, Lippincott, Williams & Wilkins Order line at 1-800-638-3030; outside of the U.S., call 1-301-714-2300. You may also fax the publisher for ordering information; Fax: 1-301-824-7390. (When ordering on-line, go to the left side of the homepage; click on "search" and then type in "case management" in the title field, and "powell" in the author field. This will bring you to the correct page for ordering the book).

The text for Modules III and IV is: Advanced Case Management: Outcomes and Beyond, by Suzanne K. Powell. Lippincott, Williams & Wilkins, 1999/2000. ISBN: 0781722349 You are required to purchase this text on your own. It can easily be obtained. You can order it directly on line with a credit card.

To Order
Lippincott, Williams & Wilkins
Or, Lippincott, Williams & Wilkins Order line at 1-800-638-3030; outside of the U.S., call 1-301-714-2300. You may also fax the publisher for ordering information; Fax: 1-301-824-7390. (When ordering on-line, go to the left side of the homepage; click on "search" and then type in "case management" in the title field, and "powell" in the author field. This will bring you to the correct page for ordering the book).

The textbook for Module 5 is: Essentials of Managed Health Care, 4th edition, by: Peter R. Kongstvedt. Jones and Bartlett Publishers, 2003. ISBN: 076372579X. You may order this book directly from the publisher at: http://www.jbpub.com

Note** you can always use other avenues to obtain these text books. Feel free to use other online book stores who may carry them, and/or you might even be able to order one or both of them from your local bookstore.

Call and order your books as soon as possible so that you can begin your course of study. You will need the book "Case Management: A Practical Guide to Success in Managed Care", to start your Module I assignments.

ABOUT THE INSTRUCTOR:

Dominick L. Flarey, Ph.D., MBA, RN,CS, CNAA, FACHE- is President of Dominick L. Flarey & Associates, a health care consulting and education firm, and The Center for Medical-Legal Consulting. He has held positions as a certified nurse practitioner, associate administrator of patient care, chief operating office and administrator in acute care hospitals. He is Dean of Nursing and Alternative Health Care Programs at Canyon College, and lectures for Heritage Professional Education, a national seminar company based in Nashville. He was an executive consultant to a national "big 6" accounting firm's health care practice and was a service line administrator and consultant for case management for another national consulting firm. He holds a BSN, an MBA, and Doctorates in nursing administration and management. He is a certified adult nurse practitioner and certified clinical hypnotherapist. He has consulted nationally on many types of Case Management projects, has lectured extensively on Case Management, including models, systems, outcomes and legal/ethical issues. He is co-author/editor of two text books on Case Management (see below) and is a member of the Editorial Board of the journal, "Nursing Case Management: Managing the Process of Patient Care."

Dr. Flarey is also certified in nursing administration advanced. He is a board certified health care executive by the American College of Healthcare Executives, and is a Fellow in the college. He also holds national certification in managed care from the Professional Education Institute. He is a Certified Medical-Legal Consultant.

He is editor-in-chief of JONA's (Journal of Nursing Administration) Healthcare Law, Ethics, and Regulation. He is a member of the editorial boards of the Journal of Nursing Administration, Seminars for Nurse Managers, Case Management: Managing the Process of Patient Care, and Nursing Outcomes. He has authored over 50 published articles in peer-reviewed journals.

Dr. Flarey is editor/author of the book, "Redesigning Nursing Care Delivery: Transforming Our Future," published by Lippincott/Raven publishers. He is also co-editor/author of the following books by Aspen Publishers: "Reengineering Nursing and Health Care: The Handbook for Organizational Transformation," winner of a 1995 AJN book of the year award, "The Handbook of Nursing Case Management: Health Care Delivery in a World of Managed Care," "Case Studies in Case Management," "Health Care Outcomes: Collaborative, Path-Based Approaches," and "Cardiovascular Outcomes: Collaborative, Path-Based Approaches," and "Process-Centered Healthcare Organizations."

He lectures nationally on the topics of Case Management, Outcomes Management, Critical Pathways, Legal Issues in Health Care Delivery, Reengineering, and organizational transformation. He is owner and president of his own consulting education firm located in northeastern Ohio.

GRADING: Examinations for all of the Modules are objective. There are fifty (50) questions on each exam. The grading scale is:

	90-100%	= A
	80-89%	= B
	70-79%	= C
	60-69%	= D
	Below 60%	= F

The Case Management project is graded on a "pass-fail" basis.

TAKING EXAMS: examinations are taken online via the Canyon College website. Once you have registered for this program, you will receive instructions on accessing and taking the examinations.

GETTING STARTED: as soon as your receive your textbook, you may begin your course of study. Below is the program course outline. Be sure to review it as you progress through the course. Once you have registered for the course, your instructor will send to you a letter of introduction with more explanations and the course assignments.

ON-LINE MESSAGE BOARD: Canyon College has provided an on-line message board for the participants of this course. The message board is a vehicle whereby the instructor can post news, current events, new findings related to the study content, etc. All currently enrolled students may at any time post to the message board. This includes questions or information related to the course and the course content. Once enrolled, you will receive directions for accessing and using the message board. Access to the Case Management message board is via the "Case Management" classroom at the Canyon College website.

Online Chat Room: students "meet" with the instructor and other students in the online chat room. Access to the chat room is via the "Case Management" classroom, located at the Canyon College website. Chats are pre- scheduled and all students receive notification via email as to when a chat session is scheduled. Here, students have an opportunity to participate in group, online discussions, including question/answer sessions, with their peers. This feature also provides students with networking opportunities.

CEU & Contact Hours: application for approved contact hours through the Certification Board for Case Management is currently being pursued.

Hours of Study/Instruction = 150 hours; 10 Semester credits

Overall Course Objectives:

* To prepare health care professionals to practice professional Case Management with sufficient knowledge for practice at a standard required by the current health care market.

* To prepare health care professionals to practice in a variety of practice settings such as clinics, delivery systems, organizations, etc. where Case Management models are in place.

* To gain the knowledge and skills required to seek new opportunities related to Case Management practice.

* To understand and practice professional Case Management with regards to high ethics and adherence to established standards of practice.

* To assist in the review process for taking related case management certification examinations.

* To prepare health care professionals to practice case management in alternative health care settings.

* To prepare health care professionals to practice case management at advanced levels of practice.

* To assist case managers in developing their own marketing plans for career and business growth, related to these practice specialties.

* To provide professional Case Managers with a college level credential for their practice specialty.

CERTIFICATE PROGRAM CURRICULUM

MODULES
Module I
Content

Overview of Case Management
Case Management Job Responsibilities and Essential Skills
Credentials, Organizations, Guidelines, and Standards
Insurance
Utilization Management
Legal Issues in Case Management

Module II
Content

Ethical Issues and Dilemmas
Quality Reviews and Risk Management
Discharge Planning: Understanding Levels of Care and Transfers
The Case Management Process
Job Stress Versus Success Factors in Case Management
Case Studies in Case Management

Module III
Content

Overview of Disease Management
The Process of Disease Management
Overview of Outcomes Management
A Case Management/Outcomes Management Program
Quality Improvement Projects
Overview of Continuous Quality Improvement
Tools for Process Improvement

Module IV
Content

The Continuous Quality Improvement Process
Case Managers Working in Project Teams
Complementary and Alternative Medicine: An Introduction to Modalities
The Integration of Complementary and Alternative Medicine
Complementary and Alternative Medicine: Implications for Case Managers

Case Management Project

Module V
Content

Types of Managed Care Organizations
Integrated Health Care Delivery Systems
Complementary and Alternative Medicine: An Introduction to Modalities
Elements of the Management Control and Governance Structure
Examining Common Assertions about Managed Care
Health Care Delivery Systems
Primary Care in Managed Health Care Plans
Compensation of Primary Care Physicians
Contracting and Reimbursement of Specialty Physicians
Negotiating and Contracting with Providers
Care Management and Clinical Integration Components
Managing Medical-Surgical Utilization
Clinical Services requiring Authorization
Case Management and Managed Care
Fundamentals and Core Competencies of Disease Management
Prescription and Drug Benefits in Managed Care
Managed Behavioral Health Care and Chemical Dependency Services
Quality Management in Managed Care
Using Data and Provider Profiling in Medical Management
Physician Behavior Change in Managed Health Care
Information Systems in Managed Health Care Plans
Claims and Benefits Administration
Medicare and Managed Care
Medicaid Managed Care
Legal Issues in Managed Care
HIPPA

* Tuition Payment Plan: Canyon College offers students in the Case Management Certificate Program a special payment plan. This plan allows students to pay for each module individually as they progress through the certificate program. For more information on this special plan, please contact the Registrar at registrar@canyoncollege.edu

Canyon College offers a Case Management Certificate Program online for health care professionals - enroll and start your online Case Management Certificate Program today! Take your Case Management Certificate Program online today and join the ranks of case managers nation wide!